Blue Water Podiatry Pc

LBN: Blue Water Podiatry Pc
Blue Water Podiatry Pc is an health care organization with primary practice located at 828 10Th Ave , Port Huron MI 48060-3640. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Blue Water Podiatry Pc can be contacted via phone (810) 982-4240, or through Ernst, Thomas K via phone (810) 982-4240.

Contact Information

Primary practice address
828 10Th Ave Port Huron MI 48060-3640
Phone: (810) 982-4240
Fax: (810) 982-2479
Website:
Map and Directions
Authorized official contact:
Name: Ernst, Thomas K Doctor of Podiatric Medicine (DPM)
Phone: (810) 982-4240

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 59000955 Michigan

Profile Details

NPI number 1760529705
LBN Legal business name Blue Water Podiatry Pc
DBA Doing business as
Authorized official Ernst, Thomas K Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Oct 19th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760529705 NPPES
Michigan MEDICAID 1958336

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